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Subject: "PHN in Hands...Med/Arthritis Questions"     Previous Topic | Next Topic
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ZenMoment
Member since Jan-7-08
14 posts
Jan-07-08, 11:15 PM (CST)
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"PHN in Hands...Med/Arthritis Questions"
 
   Good evening...

I managed to transfer my HSV1 to a finger two years ago. I haven't had any pain the last two years except for occasional flare-ups when I did something hand-intensive such as golf or tennis once in awhile. I've had to stop those sports entirely because the nerves in my right hand became very agitated over time which now seems to cause an upper-body nerve flare-up in general that involves my arm and neck.

In the last month, the ring finger on my right hand has been stiff at night/early morning and can't bend all the way without achiness at any time during the day. Even all my fingertip pads on right hand are more sensitive than usual right now. Right wrist is slightly achy as well.

I'm pretty sure this virus has worn down the nerves and tissue in this finger. A week ago I took some Acyclovir (800 mg 3/day for about 2 1/2 days) thinking I could at least get the virus under control, so my body could heal itself over time. Though the meds made me feel much better in my hand and overall gave me more energy, my ring finger still seemed really stiff and achy, if not moreso than before meds. I stopped the meds because I started getting scared my joint would enlarge and really be beyond help. When I stopped the meds, I felt very fatigued and achy for about three days and felt as though the virus was running rampant in upper body. Now I'm thinking I should have stayed the course with the meds.

Prior to this recent situation, I hadn't been on anti-virals in about a year when I didn't have any joint issues then. Would Acyclovir agitate a joint normally over just three days? I picture a little battle scene in my joint between the meds (good guys) and virus (bad guys) that might worsen the inflammation initially. Should I have given the meds a week or two for my body to acclimate? I've never broken a bone, and to my recollection, I've never injured my right hand at all. I do know I spread this virus to this hand however two years ago. Doctor wants to test me for Lupus and RA as a precaution, even though I mentioned HSV concern, which I'll do just for peace of mind.

Any suggestions? Should I try longer timeframe on Acyclovir? Should I try Famvir as an alternative? Valtrex makes my body feel like a buzzing electrical current, so that active ingredient just may not work for me. Does anyone have athritis from HSV1? I can't believe it took just two years to evolve into a stiff finger joint. Otherwise, I'm a healthy 37 year old adult without any pre-disposition to diseases based on family history. Any suggestions on HSV-friendly doctor in San Jose/Bay area?

In the meantime, just need to keep my head focused on a happy place while I get this virus under control But I am bummed Ohio State lost tonight...


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auntiejessiadmin
Member since May-14-05
18073 posts
Jan-07-08, 11:27 PM (CST)
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1. "RE: PHN in Hands...Med/Arthritis Questions"
In response to message #0
 
This sounds like arthritis maybe, and herpes shouldn't be causing that.

If you want, try a different antiviral, and see if that helps. If its acyclovir that is causing this, then you'd want to try famvir, since valtrex turns to acyclovir in the liver.

How were you diagnosed with whitlow? This might not be herpes at all, if you were just visually diagnosed, or diagnosed yourself. Whitlow is very painful, from what I understand.

In any case, your doc is right to look for other causes, and I'm glad you agree to that. A lot of times, herpes nerve pain is a rule out diagnosis, meaning you have to rule everything else out first.

Good luck, and I hope you get some good answers, and some good relief so you can go back to your activities.

jess

"In those times you seem to forget, I don't mind reminding you that you are a beautiful soul." ~ Cindy Campo

Paragraphs are beautiful things.

You can google, too.


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howladmin
Charter Member
4139 posts
Jan-08-08, 06:26 AM (CST)
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2. "RE: PHN in Hands...Med/Arthritis Questions"
In response to message #0
 
   LAST EDITED ON Jan-08-08 AT 06:26 AM (CST)
 
Compression of nerves where they exit the spine at the shoulder, along the elbow and in the wrist can cause neuralgia. If you are getting neuralgia like numbness in the fingers or pain in the wrist you may be developing repetitive injuries from your sports and that may be the source of the neuralgia.

I'd follow your docs advice, and consider seeing a sports medicine specialist.


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Lenoreadmin
Member since Oct-22-04
4281 posts
Jan-08-08, 08:47 AM (CST)
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3. "RE: PHN in Hands...Med/Arthritis Questions"
In response to message #0
 
   I've had genital herpes for 29 years and probably 10 years ago I started getting outbreaks on one of my fingers. These outbreaks are rare and very painful. I don't have any joint pain. I have pain where the sore appears and a nerve pain that runs up my arm to my scapula. The nerve pain lasts about 24 hours.The sore lasts about a week. I don't have any triggers due to activity that I have noticed. I would say that I have less outbreaks now than previously.

It seems more likely to me based on my personal experience and my understanding of herpes that this is probably more likely arthritis or sports related or some sort of repetitive stress injury, like carpal tunnel.


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ZenMoment
Member since Jan-7-08
14 posts
Jan-08-08, 08:14 PM (CST)
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4. "RE: PHN in Hands...Med/Arthritis Questions"
In response to message #3
 
   Thanks for the responses. I'll go to the lab this Saturday and get the blood work done at the very least. And I'll continue to monitor the pain in my finger and wrist. From what I've read, HSV1 should not cause arthritis. What I do know is the initial episode was very painful probably because the hands have many nerves. Diagnosis confirmed through my gp at the time. Certainly, the pain could be a combination of the HSV plus my sports activities. I mountain biked quite a bit this past summer which isn't exactly easy on the body but hate to be idle. I may troubleshoot with Famvir, but I'm giving my hands another week or two to heal on their own first before I start introducing new meds.


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fhahjee1
Member since Mar-3-15
1 posts
Mar-03-15, 06:53 AM (CST)
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5. "RE: PHN in Hands...Med/Arthritis Questions"
In response to message #4
 
   I know we have talked before and I am grateful to have the opportunity to talk with you again. Even though I am a woman and do not experience the same symptoms as you, I feel as though we are "sister and brother in pain". What you and I want can not be found in any textbooks or chronicles of medicine. What we need is to talk and cry and scream. I doubt we need professional counseling, most folks don't need nor can they afford one. We just need a friend, any old human being will do, someone who can tolerate our anger, our guilt, our regrets, our rational and our irrational thoughts. If anyone blames us for our daring to vent... then they are to blame because their intolerance will only prolong our suffering. You are lost in pain and you need a voice so you can be found again. Glad to talk with you again.

Devil DvD


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